Table 5.
Medications used in COVID-19 infection and drug interaction.
COVID Therapy | Interaction | Cardiovascular Related Effects |
---|---|---|
Chloroquine hydroxychloroquine | Inhibition of lysosomal enzymes in the myocyte | QT prolongation |
CYP2D6 inhibition | ↑beta-blocker effect (metoprolol and carvedilol) | |
Azithromycin | QT prolonging drugs Electrolyte imbalance |
QTc prolongation |
Lopinavir/ritonavir | Avoid other QT prolonging drugs Avoid electrolyte imbalance |
QTc, PR interval prolongation |
CYP3A4 inhibition | ↑Ticagrelor level ↓Clopidogrel, Prasugrel level |
|
Ribavirin and lopinavir/ritonavir | Warfarin, Apixaban, Rivaroxaban | Increased bleeding risk with factor Xa inhibitors |